1991, 04-11 Permit: 91001435 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correcand athorize Sx County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTSwor/cs
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91001435 ISSUED PERMIT DATE= 04/11 /91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= i53i0 E 24TH AVE PARCEL4= 26544-0422
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - DISHMAN-MICA INTERCEPTOR PKG 44
*** SEE NOTE ***
PLAT4= 00 2748 PLAT NAME= VERA
BLOCK= 26 LOT= 4 ZONE= UR-3.5 DI%T4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i # DWELLINGS= i WATER DIST =
OWNER= ARGER, GENE PHONE= 509 926 8670
STREET= 15340 E 24TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= TERRY COURCHAINE PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 992i6
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10,00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/11 /9i 1975 50.00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
SEWER PERMIT 50.00 50.00 .00
------------- ------ -------------
50.00 50.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES; GAS PIPING, WATER LINES:, ECT.
CALL BEFORE YOU DIG (45"-8OOO)
SEWER STUBS RE TO BE H TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N %T D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL N ITI H LI T
Project
Address: _____.___-_-__._ __.___. ____---___._-- Project# .----__ _-- -- ------Use.___
Dept: Date: Condition: !nit: Appr
(in) (out)
Dept.of Bldgs.
- -- -- Special Insp,Final Report___ _---___--
Hydrant( }
--- Lock Box_. _--
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Engineer's_____ ____ RID/CRP
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Road Plan/Improvements_.__
Bonds- -
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Planning - Ponds..
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Date received for O/O PrticA,Ssin;` ... 7 = ' t 1}?I nrpullecl fc c ftnaT ro e srrig r
Temporary CIO tssudd r.)dcu snc r Issued._` •
Office file review by v ,uta-4 ;ka .
_ Date - ,�_+.- - - --- -a
Filed insp,finaled by ;. d -,
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;net,{days after CIO issuance:
Owner contractor called regarding the return of plans: -- . Data
Plans returned. ._-_- —_ Received by
No response from owner/contractor-plan destroyed: